开远市嫖客人群艾滋病相关知识、高危行为和STDs感染状况分析

王跃会; 周云华; 岑平; 陈向凡; 李莹; 李十月; 汪宁; 燕虹

doi:10.16462/j.cnki.zhjbkz.2019.03.005

开远市嫖客人群艾滋病相关知识、高危行为和STDs感染状况分析

doi: 10.16462/j.cnki.zhjbkz.2019.03.005

王跃会¹,
周云华²,
岑平³,
陈向凡¹,
李莹¹,
李十月¹,
汪宁⁴,
燕虹^1, ,

1.
430071 武汉, 武汉大学健康学院预防医学系
2.
661600 开远, 开远市疾病预防控制中心检验科
3.
530023 南宁, 南宁市疾病预防控制中心性病艾滋病防制科(岑平)
4.
102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心

基金项目:

国家“十二五”科技重大专项 2012ZX10001-001

详细信息

通讯作者:
燕虹, E-mail: yanhmjxr@aliyun.com

中图分类号: R512.91;R183
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- 被引次数: 0
出版历程
- 收稿日期: 2018-08-21
- 修回日期: 2018-10-13
- 刊出日期: 2019-03-10

Analysis on AIDS related knowledge, high-risk behaviors and STDs infection status of whoremasters in Kaiyuan City, Yunnan Province

1.
Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, China
2.
Department of Clinical Laboratory, Kaiyuan City Center for Disease Control and Prevention, Kaiyuan 661600, China
3.
Department of AIDS/STD Prevention and Control, Nanning Municipal Center for Disease Control and Prevention, Nanning 530023, China
4.
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China

摘要

摘要: 目的了解开远市嫖客人群艾滋病(acquired immunodeficiency syndrome, AIDS)相关知识和高危行为状况, 以及感染人类免疫缺陷病毒(human immunodeficiency virus, HIV)、梅毒、生殖器单纯疱疹病毒(herpes simplex virus type 2, HSV-2)状况, 分析HSV-2感染相关因素, 为制定预防措施提供依据。方法采用“外展人员招募”与“滚雪球”方式招募对象, 问卷调查并采集血液和尿液进行相应实验室检查。结果 98.22%的嫖客知晓艾滋病知识; 9.33%曾使用过毒品; 14.67%在最近一次商业性行为时未使用安全套; 62.22%曾有过非婚性伴, 在过去一年与非婚性伴有性行为的嫖客中, 59.55%未坚持使用安全套。嫖客中HIV/梅毒/HSV-2的总体感染率为18.22%, 其中HIV、梅毒、HSV-2的感染率分别为3.11%、1.33%、16.44%。年龄较大者HSV-2感染率较高[AOR=1.044, 95%CI: 1.016~1.073, P=0.002], 最近一次商业性行为中未使用安全套者HSV-2感染率较高[AOR=3.125, 95%CI: 1.229~7.945, P=0.017]。结论开远市嫖客人群艾滋病知识知晓率高, 但仍存在高危行为, 有较高的HIV和其它性传播疾病感染率, 需采取针对性干预措施, 提高该人群感染性传播疾病的风险意识, 促进他们在商业和非婚性行为中坚持使用安全套。
- 嫖客 /
- 艾滋病相关知识 /
- 高危行为 /
- HIV /
- 梅毒 /
- HSV-2 /
- 性传播疾病
Abstract: Objective To understand the awareness of AIDS related knowledge, high risk behaviors, the infection status of HIV, syphilis and HSV-2, and to explore the associated factors with HSV-2 infection among whoremasters in Kaiyuan City, so as to provide scientific evidence for targeted intervention to prevent and control HIV and other STDs. Methods A self-designed questionnaire survey was conducted among whoremasters recruited through outreach activities and snowball sampling. The blood and urine were also collected for corresponding laboratory examination. Results Among the whoremasters, 98.22% had a high awareness of AIDS related knowledge, 9.33% once used drugs, and 14.67% did not use a condom during the latest commercial sex. 62.22% of the whoremasters ever had non-marital sex partners, and of those who had sex with non-marital sex partners in the past year, 59.55% reported using condoms inconsistently. The total infection rate of HIV/syphilis/HSV-2 was 18.22% and the infection rates of HIV, syphilis and HSV-2 were 3.11%, 1.33% and 16.44%, respectively. The older whoremasters were more likely to have a higher HSV-2 infection rate[AOR=1.044, 95%CI: 1.016-1.073, P=0.002], and those whoremasters not using a condom during the latest commercial sex were more likely to have a higher HSV-2 infection rate[AOR=3.125, 95%CI: 1.229-7.945, P=0.017]. Conclusions Though whoremasters in Kaiyuan City had a high awareness of AIDS related knowledge, they had high-risk behaviors and relatively high HIV and other STDs infection rates. Targeted interventions are needed to improve the risk awareness of STDs infection to promote consistent condom use in both commercial and non-marital sexual behaviors among whoremasters.
- Whoremasters /
- Acquired immunodeficiency syndrome related knowledge /
- High risk behaviors /
- Human immunodeficiency virus /
- Syphilis /
- Herpes simplex virus type 2 /
- Sexual transmitted diseases

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表 1 艾滋病知识知晓情况

Table 1. Awareness of AIDS related knowledge

艾滋病相关问题	正确人数n(人)	正确率(%)
一个感染了艾滋病病毒的人能从外表上看出来吗？	220	97.78
蚊虫叮咬会传播艾滋病吗？	214	95.11
与艾滋病病毒感染者或病人一起吃饭会感染艾滋病吗？	207	92.00
输入带有艾滋病病毒的血液会得艾滋病吗？	219	97.33
与艾滋病病毒感染者共用针具有可能得艾滋病吗？	222	98.67
感染艾滋病病毒的妇女生下的小孩有可能得艾滋病吗？	222	98.67
正确使用安全套可以减少艾滋病的传播吗？	221	98.22
只与一个性伴发生性行为可以减少艾滋病的传播吗？	222	98.67
艾滋病知识(知晓率)	221	98.22

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表 2 HSV-2感染的单因素和多因素Logistic回归分析

Table 2. Univariate and multivariate Logistic regression analysis of influencing factors for HSV-2 infection

变量	HSV-2(-)	HSV-2(+)	单因素Crude OR(95%CI)	单因素P值	多因素Adjusted OR(95%CI)	多因素P值
年龄[M(IQR)]	25(19~43)	45(32~54)	1.060(1.034~1.086)	< 0.001	1.044(1.016~1.073)	0.002
婚姻状况
未婚/离婚/丧偶	101(84.87)	18(15.13)	1.000
在婚/同居	87(82.08)	19(17.92)	1.225(0.605~2.481)	0.572
户籍所在地
本市	137(85.09)	24(14.91)	1.000
外市	51(79.69)	13(20.31)	1.455(0.689~3.073)	0.325
民族
汉族	90(76.92)	27(23.08)	1.000			1.000
少数民族	98(90.74)	10(9.26)	0.340(0.156~0.742)	0.007	0.557(0.231~1.342)	0.192
文化程度
小学及以下	48(82.76)	10(17.24)	1.000
初中	92(80.70)	22(19.30)	1.148(0.503~2.619)	0.743
高中及以上	48(90.57)	5(9.43)	0.500(0.159~1.572)	0.236
职业
服务业	38(90.48)	4(9.52)	1.000
待业	41(85.42)	7(14.58)	1.622(0.440~5.983)	0.468
其他	109(80.74)	26(19.26)	2.266(0.743~6.914)	0.151
个人月收入(元)
＜2000	80(84.21)	15(15.79)	1.000
≥2000	108(83.08)	22(16.92)	1.086(0.530-2.226)	0.821
艾滋病知识
知晓	184(83.26)	37(16.74)	1.000
不知晓	4(100.00)	0(0.00)	-		0.999
饮酒
是	150(85.23)	26(14.77)	1.000
否	38(77.55)	11(22.45)	1.670(0.758~3.679)	0.203
吸烟
是	149(83.24)	30(16.76)	1.000
否	39(84.78)	7(15.22)	0.891(0.364~2.182)	0.801
既往毒品使用
是	17(80.95)	4(19.05)	1.000
否	171(83.82)	33(16.18)	0.820(0.259~2.593)	0.736
既往HIV检测
是	87(78.38)	24(21.62)	1.000		1.000
否	101(88.60)	13(11.40)	0.467(0.224~0.971)	0.042	0.605(0.267~1.371)	0.229
既往非婚性伴
有	119(85.00)	21(15.00)	1.000
无	69(81.18)	16(18.82)	1.314(0.643~2.686)	0.454
近一次商业性行为中安全套使用
用了	167(86.98)	25(13.02)	1.000			1.000
没用	21(63.64)	12(36.36)	3.817(1.674~8.705)	0.001	3.125(1.229~7.945)	0.017
HIV
(-)	184(84.40)	34(15.60)	1.000
(+)	4(57.14)	3(42.86)	4.059(0.869~18.952)	0.075
梅毒
(-)	188(84.68)	34(15.32)	1.000
(+)	0(0.00)	3(100.00)	-	0.999

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